Organization
FARLEY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILTON FARLEY III DDS (OWNER/DENTIST)
(740) 377-2219
Entity
Organization
Contact information
Practice address
301 PARK AVE, SOUTH POINT, OH 45680-9635
(740) 377-2219
(740) 377-4987
Mailing address
PO BOX 512, SOUTH POINT, OH 45680-0512
(740) 377-2219
(740) 377-4987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943668
—
OH
Enumeration date
02/04/2014
Last updated
02/04/2014
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